Evidence map›Paper›PMID 30667588›Full record

Trial reportJournal of clinical nursing2019

Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: A randomised trial.

Susan Barnason, Lani Zimmerman, Paula Schulz, Carol Pullen, Sue Schuelke

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Examining Utilization of an Outpatient Telenutrition Service Across Primary Care Clinics in South Carolina.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Susan BarnasonCollege of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska.ORCID https://orcid.org/0000-0001-8747-234X
Lani ZimmermanCollege of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska.
Paula SchulzCollege of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska.
Carol PullenCollege of Nursing-Omaha Division, University of Nebraska Medical Center, Omaha, Nebraska.
Sue SchuelkeCollege of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska.
University of Nebraska–Lincoln · USNebraska Medical Center · US

Funding

Interdisciplinary Healthy Heart Center: Linking Rural Populations by TechnologyP20NR011404 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PULLEN, CAROL H · 2009 to 2013
$1.4M
NINR NIH HHS P20 NR011404
6 · The paper itself

Abstract

AIMS AND

objectivesTo determine whether a weight management intervention (WMI) plus cardiac rehabilitation (CR) compared to CR alone improves outcomes for overweight and obese cardiac revascularisation patients.

backgroundDespite participating in cardiac rehabilitation (CR), few cardiac patients lose enough weight to achieve clinically significant cardiovascular disease risk reduction.

designA randomised controlled design was used with measurements at baseline, 4 and 6 months, guided by the CONSORT checklist, see Supporting Information File S1. Adults who had undergone either coronary artery bypass surgery (CABS) or percutaneous coronary intervention (PCI) and participated in a rural CR programmes were recruited. Subjects were randomised to a 12-week telehealth WMI or control group. The primary outcome was weight loss. Secondary outcomes included physical activity, patient activation, perceived self-efficacy and use of weight management behaviours.

resultsA total of 43 subjects participated, with a mean age of 63 (±9.3) years. The WMI group had significantly more weight loss averaged across the 4 and 6 months of 13.8 (±2.8) pounds compared to the control group [mean = 7.8 (±2.2) pounds]. There were no significant differences in physical activity (activity counts or daily minutes in moderate or more intense activity). The WMI group had significantly higher levels of patient activation. They also had significantly higher total scores on the Diet and Exercise Self-Management survey, and subscales that included self-efficacy for specific eating habits and managing diet behaviour.

conclusionsFindings demonstrated the usefulness and feasibility of using telehealth delivery of the WMI for cardiac rehabilitation participants in rural communities to improve weight management outcomes. RELEVANCE TO PRACTICE: Study findings underscore the opportunity to further improve weight loss of overweight and obese cardiac participants using a weight management intervention to augment CR participation.

Indexed as

Weight LossAgedAnalysis of VarianceCardiac RehabilitationExerciseFemaleHumansMaleMiddle AgedObesityRural PopulationSelf EfficacySurveys and QuestionnairesTelemedicinecardiac rehabilitationcardiac revascularisationcoronary artery bypass surgerypercutaneous coronary interventionrural communitiesweight lossweight management overweight and obese cardiac patients

Identifiers

PMID30667588
PMCPMC6453725
OpenAlexW2911972222

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.